HomeMy WebLinkAboutPermit M95-0171 - ERICKSON WILLIAMP.
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City of Tukwila (-
(206) 4313670
Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188
MECHANICAL PERMIT
Permit No: M95 -0171
Type: B- MECHAN
Category: RES
Address: 14918 57 AV S
Location:
Parcel #: 868780 -0045
Contractor License No: WESTSFS12OCK
TENANT ERICKSON WILLIAM
14918 57 AV S, TUKWILA, WA 98168
OWNER ERICKSON WILLMER S
14918 57 AV S, TUKWILA, WA.98 "168
CONTRACTOR WEST SEATTLE FURNACESALES..CO'..
4619 37TH AVENUES' SEATTLEA. 9.81.26
CONTACT STEVE VANNOY.a:`
4619 37TH °AVENUE S. W.;, ` SEATTLE, WA: 98126
** * * * * * *** * * * *,. * * * * * * * * *.* ,• * * *. * * * * * * * * * * * *, ******* " * * * * * * **. *' * * * * * * * * * * * * * * * * **
Status: ISSUED
Issued: 10/17/1995
Expires: 04/14/1996
Suite:
Phone: 206 935 -5454
Phone: 206 935 -5454
Permit Descri,p;t :lon:
• CHANGE .OUT ' FURNACE OIL TO ' GAS a - LENNOX 100;;000 BTU
UMC Edition: 1994
Valuation:
Total Permit Fee:
,300.00
35.25
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Permit;; Center Authorized Signature
LC) 1'1-
Date
I hereby: certify tha;t I , hav,e read and examined this permit "and know the
same to ',be true and oorre"ct.:' All provisions• of law and" ordinances
governing this :.work will �"ber,compl ted with, `whe.ther specified herein or not
The granting" of th'i"s permit does not,pre`sume to give authority to violate
or ,cancel -;the provisions of any other state or local :;law"s regulating
construction or the `performance of work. 1 am authorized to sign for and
obtain th is`,,building permit.
Signature:
Print Name:
This permit shall bec'o,nne.null and:,vo`id:":'the work :;:fis''not commenced within
180 days from the datei,ssu,ance, or if tho'r�k'is suspended or
abandoned for a period of -180 days °;from "the"'.`last' inspection.
CITY OF TUKWIL
Department of Community Development — Permit Center
6300 Southcenter Boulevard - #100, Tukwila, WA 98188
(206) 431 -3670
Mechanical Permit Application Tracking
PLAN CHECK
NUMBER
PROJECT NAME
�--
l -Isoo l i
Wtttimn
>Q\J 5
SUITE NO. _r,
SITE ADDRESS
I�glt 51
INSTRUCTIONS TO STAFF
• Contacts with applicants or requests for information should be summarized in riting by staff so
that the status of the project may be ascertained at any time.
• Plan corrections shall be completed and approved prior to sending to th next department.
• Any conditions or requirements for the permit shall be noted in the Sie • a system or summarized
concisely in the form of a formal letter or memo, which will be attac °d to the permit.
• Please fill out your section of the tracking chart completely. Whe information requested is not
applicable, so note by using "N /A ", date and initial.
DEPARTMENTAL REVIEW
"X" in box indicates which departments need to review
;PARTME,
t
O BUILDING -
initial review
project.
UI:RE.ME
to Sent - Date Approved
ROUTED
O FIRE
Sprinklers
Detectors • N/A
LE R DATED:
INSPECTOR:
INIT:
O PLANNING
BAR/LAND USE CONDITIONS? • Yes
NG REQUIRED? O Yes O No
INIT: REFE1NENCE FILE NOS.:
O OTHER
INIT:
O BUILDING -
final review
O BUILDING
OFFICIAL
UMC EDITION (year):
INIT:
REVIEW COMPLETED
AMOUNT
OWING:
CONTACTED
DATE NOTIFIED
BY:
2nd NOTIFICATION
BY:
(init.)
3RD NOTIFICATION
BY:
(Init.)
01/07/93
MECHANICAL PERMIT
APPLICATION
CITY OF TUKWILA
Department of Community Development - Building Division
6300 Southcenter Boulevard, Tukwila WA 98188
(206) 431 -3670
PLAN CHECK
NUMBER
)(VAG -0111
APPLICATION MUST BE FILLED OUT COMPLETELY
FEES (for staff use only)
DESCRIPTION :
AMOUNT
RCPT *
:; .: DATE
BASIC PERMIT FEE :
ADDRESS y iii 5
L
»
/
f
UNIT(S) FEE
PHONE
y� s S yY
ADDRESS Lit/ y -3)
.::
PLAN CHECK FEE
WA. ST. CONTRACTOR'S LICENSE #„
S _ S �S
OTHER:
TOTAL
SITE ADDRESS
PROJECT NAME/TENANT
SUITE #
9✓
TYPE OF WORK: Q New /Addition
Modifications Q Repair
VALUE OF CONSTRUCTION - $
X2.3c),)u
ASSESSOR ACCOUNT #
res6 -,RYr 000 44-C
0 Other:
DESCRIBE WORK TO BE DONE:
/.,rl�Occ ✓•v1•cf, — �� t
'•E<:;:;; ::: R ZE « ?°::><:_<:><::: '<`:>`::':: <: >: >�:< <: >�:: <::;:::'�':: ><::: UM EROF:U
LP r1.761 ioc), uLX. ',I
BUILDING USE (office, warehouse, etc.)
Yes .
NATURE OF BUSINESS:
WILL THERE BE A CHANGE IN IJSE? (B'No O Yes IF YES, EXPLAIN:
WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING?
ENo O Yes
IF YES, EXPLAIN:
OWNER !' ! //4 its
C ff ,.
c �S .,1
Le S
PHONE
ZIP
ADDRESS y iii 5
L
»
/
f
___s
,d.,,.� N
PHONE
y� s S yY
ADDRESS Lit/ y -3)
4,,e i i-c7
ZIP 9d2) G
WA. ST. CONTRACTOR'S LICENSE #„
S _ S �S
EXP. DATE
I HEREBY CERTIFY THAT t'HAVE READ AND EXAMINED THIS 'APPLICATIONANDKNOWTHE:SAMET(
AND;CORRECT, AND:1 AM.AUTHORIZ D TO:AP'LY :THIS ::PER
BUILDING OWNER
OR
AUTHORIZED
AGENT
DATE
i G - ,'7-PS
PHONE
ADDRESS
CONTACT PERSON
CITY/ZIP
PHONE
APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to till out the
application completely and follow the plan submittal checklist on the reverse side of this form. Application and plans
must be complete in order to be accepted for plan review.
BUILDING OWNER/AUTHOR /ZED AGENT If the applicant is other than the owner, registered architect/engineer, or contractor licensed
by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit
application and obtain the permit will be required as part of this submittal.
VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This
figure is used for budget reporting purposes only and not to calculate your fees.
EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall
expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180
days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (current
edition). No application shall be extended more than once.
If you have any questions about our process or plan submittal requirements,
please contact the Department of Community Development at 431 -3670.
DATE APPLICATION ACCEPTED
o- l -q5
DATE APPLICATION EXPIRES
SUEiMITTAL CHECKLIST
MECHANICAL
nC• ompleted mechanical permit application (one for each structure or tenant)
n T• wo (2) sets of mechanical plans, which include:
• Floor plan
• System layout
• Elevations (for roof mounted equipment)
• Heat Loss Calculations
Structural calculations stamped by a Washington State licensed engineer may be
required if structural work is to be done (2 sets)
Note: Hood and duct systems require a building permit for the duct shaft.
Water heaters and vents are included in the UMC — please include any water heaters or
vents being installed or replaced.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Sys
017/
PERMIT N61
`/
(206) 431 -3670
Project:
, c/ , i
Type of Inspect . 1
•
Address;
1
MMEMW111,
7.: 7 -
Date Wanted: `�
l
'
.10
---
95a m. p.m.
Special nst -
, . ,
alA_2, e9D
Requester:
Phone No.:
KApproved per applicable codes.
COMMENTS:
❑ Corrections required prior to approval.
_.sin _ ��"��''_•_�
E
❑ $30.00 REINSPECTION F REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. CaN to schedule reinspection.
Receipt No.:
1 t7ete:
u .. w ;daJuSi...t........tt1ti >c•'u'w. m:un»w
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206) 431 -3670
road: - 1- I C
•Y.1
ypeo ns•:• •n:
• • ress: f
►
C
1 iiiiiIMINIMII
Date Wanted: _ --
Cr I C GS a p.m.
Sp: . : Instructions:
.a%
Requester:
uester:
,eve
Rime No.: Li
❑ Approved per applicable codes. X Corrections required prior to approval.
COMMENTS:
4 1,1 /),7
k -j�J4....
-)).7 144
A
❑ $30.00 REINSPECTION F E REQUIRED. Prior to reinspection, fee must be paid at
6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
JReoepl
Date:
1
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CITY OF i'ttl(�1]:LW > ►iW V9 -- 'O�
TRANSMIT
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TRANSMIT NiAmber: 94003118 Amount: 35.25 1.0/17/35 11:04
Payment Method: CHECK Notation: NEST SEATTLE FUR Tnii4471/0
Perra1 • No: M95-0171 Type.: H- MECHf1N MECHANICAL PERMIT
Parcel No :. 068760••0045
Site Address: 14918 5:% AV. S
This Payment
Total Fees: 35.25
35.25 Total ALL Pmts: 35.25
Balance: .00
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laccount. Code Description .Amount
000/322.100 MECHANICAL. - RE;# 35.25
GENERA 35:25
TOTAL 35.25
CHECK( 35.25
CHANGE 0.00
7109A000 11;32
Address:14918.57 AV
Suite:
Tenant: ERICKSON WILLIAM
Type': B- MECHAN'
Parcel #: 868760 -0045
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CITY OF TU WILA
Permit No
Status:
Applied:
Issued:
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M95-0171
ISSUED
10/17/1995
1071771995
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1 "NO WORK:. '.:,HALL BE 'DONE ;,,IN =r psi [ .3.1 t l `T±0'; rTHOSE.„,MODIFICATIONS OR
REPLACEMENT OF E- ISTINU= ;,!AP•PLIANCE:S AS "DE.! CRIBE1) ON THIS
ORIGINAL MECHANICAL}•', PERMIT. °, :rr °' V-4;:‘,...,
ORIGINAL
County D � t t f op 4;10 t h�` P l u m bpi n w i 1 1..4[6
3 E1ectric�,a' % e i'nf'ths .Vhal,10. ie ohtained throu'gh... the Jashint'.
State Divi's10-r tof'Lalbof, and "10,(440 es and all -, e1. t rrica), .
work 41 ,0 , be in4er�,ted by �a� ages X�, 1248 -663 ,,
4. All pia it inspectionFlre at� s, a c approved p1a 1as sf�4191
avai � e40 the��job � :'ite pri m the start of arfy c tii
str otior Y, :z the 'e docurnents a e•...to�.beN maintained and � , fi "-
ab1 �>Untji 1 rveinal inspe k't'ion.-.' j "iiarova:l.,. ;is granted. .
5. A11 const'ruction to.��b;e dotie i.ni contor7,mat)�ce,,.�ky ith approved'
p1aisf and requ-�1rements " 'of '.th'e LInifo;`nlBuij,d+ing Code C1994`''
Ed i t iton) as'; aiietrded;t Uniform, Mechanical Code', t 19:74 Edition) .
andti�;1Wash�i ngton ':+.tat,e:: "En.er�g ■r' Fode t 1994•.Ed i t.0FOn) A' -
6. Val ixd�i tv o'f� Pearmi;t. The�.`'iscrou.nce'caf ,a_..peir m�it or approva.ln...o:f
p Ian s04,cifi;cat$,on.'. Mid' coMp'utations, shall not be , :con :;,�, t
str'u:e;d to be' a Provisions permit.F,1-o,.r°`or an a .prj,ov,al ot.,,,any violation
of any Of -.the of the buji 1 d..I ngr;r.code. or of an_v ......., I
other <�oi diriance%of: the iur�isdictlon: S °tNo, permi t, pre�'uming to 1
give�ttt.uthorIty to violate or cancel ,thy {pr.ovi�c ionsr;of,thiirs'
code '''A ha l 1 r,,; b e' v a 1 t. d . % {' 1 A. 4 ,' '',. qy ,�,,,2�
7. MANUFA` URERS INSTALLATION INSTRUCTIONS rUIRBDe.,ON : SITE
2.
Plumbing per mi5O ..Nall ,,bc} o to ,ned� 4rroughl1the .+e,� t, ae -King
ouri y e pat ,Yle- o r 4. L r r. r.
inspected trhatag��ncvT. ihcluding a1'1 ga;s 1'p1 g �'
t 296 4 722 ,r nv 44 ` o .s 4 ; ' ;i,
ti
FOR THCBUILDI-NG IN':;PECTOR'�� 5ii } >;t .
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.'r;l±�: �. i�' Fe9i�;.' i�',"y.'YiSHd!6:2`;M §S+,"..'rji � "e:',',:`v� u
MGISTEIiEb'AS•PROVIDEO BYLAW AS A: ,; •.t
t "cpN�st• CONY: f`sPECLA�LI y
t ... . 7:,::`'}t=tit9I ATIpP1NU Eii' " r i r r.
•
'WET :SEATTLE..FRk -SALEBI •CO. I�
4619 37TH AVE S W
SEATTLE WA 98126
SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
a